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Individual

DR. ALBERT DRANE OLIPHANT IV

Active
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Individual

DR. ALBERT DRANE OLIPHANT IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MD

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
8500
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7125
SC

Other

Enumeration date
07/09/2008
Last updated
06/15/2013
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